Provider Demographics
NPI:1538981410
Name:GARFIELD SCHOLARS' ACADEMY
Entity type:Organization
Organization Name:GARFIELD SCHOLARS' ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-405-4264
Mailing Address - Street 1:17784 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:AR
Mailing Address - Zip Code:72732-8312
Mailing Address - Country:US
Mailing Address - Phone:479-405-4264
Mailing Address - Fax:479-405-4268
Practice Address - Street 1:17784 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:AR
Practice Address - Zip Code:72732-8312
Practice Address - Country:US
Practice Address - Phone:479-405-4264
Practice Address - Fax:479-405-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR204810721Medicaid
AR217330721Medicaid
AR1487291415Medicaid